| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,350.42 | $4,396.00 | $10,300.00 | |
Anthem BCBS
| Facility | $3,671.00 | $5,123.00 | $43,524.48 | |
Hometown Health
| Professional | $21.60 | $1,404.63 | $10,631.43 | |
United
| Facility | $3,163.00 | $6,491.00 | $14,434.00 |